Detailed Declaration - New [n/a] - S.A.D.

, hardcopy

SCHEDULE II
CUSDEC I SRI LANKA CUSTOMS - GOODS DECLARATION 1 DECLARATION Customs - 53

2 Exporter TIN: IM 4 CBHQ1 Colombo Head Quaters

GULBRANDSENTECHNOLOGIESINDIAPVTLTD. Customs Reference Number:
PLOT 761/A,P.O.26,JHAGADIAG.I.D.C,BHARUCH, 3 Pages 4 List
GUJARAT,393110,INDIA. 1 1 Manifest SECMB 2023 2486
5 Items 6 Total Packages 7 Declarant's Sequence Number
1 3.00 2023

8 Consignee TIN: 2040081677000 9 Person Responsible for Financial Settlement TIN:

UNILEVERSRILANKALTD
258,M VINCENTPERERAMAWATHA,
Header COLOMBO-14.
Information LAX 29/2/2024 Country last 11 Trading 12 Value Details 13 C.A.P.
EREG COMP
IN con. IN Ctry 105,243

14 Declarant/Representative TIN: 1144662987000 15 Country of Export 15A Ctry. Ex. Code 17A Ctry Dest Cod
AIRMARINELOGISTICSPVTLTD India IN LK
171 1/3 KYNSEY RD COL 08 16 Country of Origin 17 Country of Destination
India Sri Lanka
18 Vessel/Flight 19 Ctr. 20 Delivery Terms
WIDEJULIET EXW
21 Voyage No./Date 22 Currency and Total Amount Invoic...23 Exchange Rate 24 Nature of
031E USD 862.50 331.9854 Transt.
25 Mode of Transp...26 Inland mode 27 Place of loading/discharge 28 Financial and Banking Data Bank Code: 7038
1 at border Transport INNSA NHAVA SHEVA Terms of Payment: 70 Open Account
29 Office of entry 30 Location of Goods Bank Name: Standard Chartered Bank
CBHQ1 Colombo Head Quaters SLPA Branch: 001 Ref. No.:
31 Marks and Numbers - Containers No(s) - Number and Kind 32 Item 33 Commodity (HS) Code
Packages Marks & 01 TO 03 DRUMS 1 No. 28274900 00
and Nos of Pkgs: 03 DRUMS [1.438 CBM] MFF 34 Ctry of Origin ... 35 Gross Mass (Kg) 36 Prefer.
Description Number & Kind: 3.00 DR IN 800.00
of Goods
Drum 37 Procedure Co... 38 Net Mass (Kg) 39 Quota
Containers No(s): 4000 000 750.00
Description:
40 Previous Document/BL No./AWB No. S/L
ALUMINIUM
SESQUICHLOROHYDRATE
SOLUTION
MSE0723019763
750 KGS 41 UOM & Qty. 1 42 Item Price (FOB/CIF) 43 V.M.
Code
44 Licence No D.Val D.Qty 750 KGM 750.00 863.00
Add. Info 41 UOM & Qty. 2 45 Adjustment
101,508+0+3,735+0-0
Documents
Produced A.D. 1
Certificates 41 UOM & Qty. 3 46 Statistical Value
and Autho-
rization
391,580
47 Type Tax base Rate Amount MP 48 A.C. Number 49 Identi. of Warehouse and Period
Calculation
CID 391,580 0.00 0 1
of Taxes
PAL 391,580 10.00 39,158 1 BACCOUNTINGDETAILS
SSL 469,895 2.50 11,748 1
Mode of Payment : CASH
VAT 469,895 15.00 70,485 1
Assessment Number : / Date :
Receipt Number : Date :
Guarantee : 0 Date :
Total Fees : Rs. 550 LKR

Total 121,391 1 Total Declaration : Rs. 121,941 LKR

50. C.

Office 51.
Use

52. 53. I do hereby confirm that all particulars entered by me or on my behalf

in the CusDec and electronically transferred to the Sri Lanka Customs
are true & correct, and that the same particulars appear in print form
D. on this document.

SIGNATUREOFIMPORTER/EXPORTER/AGENT:.................

DATE : ...............................
54. DECLARATION SUBMITTED BY
........................................................... ................
SIGNATUREOFCUSTOMSHOUSEAGENT IDNUMBER

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